Vulvar melanoma

Détails

ID Serval
serval:BIB_7AF452C03F5A
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Synthèse (review): revue aussi complète que possible des connaissances sur un sujet, rédigée à partir de l'analyse exhaustive des travaux publiés.
Collection
Publications
Titre
Vulvar melanoma
Périodique
Seminars in Dermatology
Auteur(s)
Panizzon  R. G.
ISSN
0278-145X (Print)
Statut éditorial
Publié
Date de publication
03/1996
Volume
15
Numéro
1
Pages
67-70
Notes
Journal Article
Review --- Old month value: Mar
Résumé
Vulvar melanomas are seen in about 3% of all melanomas. The percentage reaches 10% of all malignant tumors of the vulva. The mean age of the patients is approximately 55 years. The first symptoms noticed by the patients are bleeding, pruritus, or a mass in the groin. Vulvar melanomas are mostly located at the labia minora. The differential diagnosis comprises different pigmented lesions, such as seborrheic keratosis, nevocellular nevus, lentigo, or hyperpigmentations of different origin. There is no typical histopathological pattern, but mostly melanomas of this site are of the mucosal-lentiginous type. As treatment modalities, most investigators propose a complete excision for melanomas thinner than 1 mm, and for thicker melanomas a wide excision. Recent investigations have shown that hemivulvectomies or vulvectomies do not show a better survival. The question of a prophylactic ipsilateral lymph node dissection is not answered yet. The survival rates depend on the tumor thickness and/or the infiltration level. The importance of an early diagnosis should be stressed in vulvar melanomas, especially through an accurate inspection of the vulva at the time of a genital examination. In addition, vulvar self examinations are an excellent possibility for early diagnosis. This allows a definite treatment and vulvar conservation.
Mots-clé
Diagnosis, Differential Female Humans Incidence *Melanoma/epidemiology/pathology/therapy Middle Aged Prognosis Survival Rate *Vulvar Neoplasms/epidemiology/pathology/therapy
Pubmed
Web of science
Création de la notice
25/01/2008 16:55
Dernière modification de la notice
20/08/2019 14:36
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